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Specific Antibody Or Protein Blood Test

South Dakota rates for HCPCS 86053

A laboratory blood test that detects a specific antibody or protein marker in the blood, commonly used to help evaluate an infection, autoimmune condition, or allergic reaction. It is one component of a broader diagnostic blood workup. Results are interpreted by a clinician alongside symptoms and other findings.

Rates data updated July 2026.

How much does Specific Antibody Or Protein Blood Test cost?

$75.86

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$25.12 to $105
FacilityA hospital or hospital-owned outpatient department$204$42.66 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $38 to $204Professionalmedian $72 · 10th to 90th $9 to $214
$10$20$50$100$200facility $204professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$204.17
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$35.48
Typical High
$213.80
Avera
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$38.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.02
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02

Where South Dakota sits

The same service costs 9.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 2nd of 51

$75.86

AK $85.11FL $8.71

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.